Benefits Administration

Public Service Center
250 4th Street S., Room 100
Minneapolis, MN 55415
(612) 673-3333
benefits@minneapolismn.gov
 

Dental Coverage

The City offers eligible employees and their dependents dental insurance through Delta Dental of Minnesota

Customer service: (651) 406-5916 or 1-800-553-9536

 

Schedule of Benefits

Plan Pays

Diagnostic & preventative services

100%

Basic services

80%

Major restorative services

50%

Prosthetics

50%

Orthodontics

50%

*Plan payments for diagnostic and preventive services are included in the benefit maximums noted below.

Benefit Maximums

If you use the services of a Delta PPO dentist, the plan will pay up to $1,500 per calendar year for each covered person.

If you use the services of a Delta Premier or out-of-network dentist, the plan will pay up to $1,000 per calendar year for each covered person.

Find a participating dentist .

Deductible

An annual deductible of $50 per year for each covered person applies to basic, major, and prosthetic services. The annual deductible will not exceed $150 per family. The annual deductible does not apply to diagnostic, preventive or orthodontic services.

The attached plan document contains detailed information on the services that are eligible for coverage and the procedures you must follow to obtain benefits.

Enrolling for Dental Benefits

Most full-time employees and their eligible dependents may enroll in benefits the first of the month following 30 days of employment. Certain part-time employees are eligible to participate in the dental plan. Eligibility and contribution requirements for part-time employees are based on the governing policy or collective bargaining agreement.

Changing Your Dental Plan Elections

You can change your dental plan election, including adding and deleting dependents, at any time during the year. To change your election, you must complete a Health Plan Enrollment/Change Form and return it to the City’s Benefits Office.

Last updated Aug. 21, 2013